Uke wavakashela udokotela wakho muva nje wabezwa bethi, “Umfutho wegazi wakho uphezulu kancane, kodwa awukafiki ezingeni lapho udinga khona imithi”? Noma mhlawumbe uyazi umngane noma ilungu lomndeni elitshelwe okufanayo? Abantu abaningi bavame ukungakunaki lokhu kufundwa komfutho wegazi “ophezulu kancane”, becabanga ukuthi, “Angikabi nesifo okwamanje.” Kodwa-ke, namuhla eNirogi Lanka , sifuna ukukhuluma ngokuthi lokhu kusho ukuthini ngempela, ukuthi kungani kungaba yingozi empilweni ethule, nokuthi ungathatha kanjani ukulawula ukuze uhlale uphilile. Odokotela babiza lesi simo ngokuthi i-Prehypertension .
Kuyini ngempela i-Prehypertension? Ake sikuchaze!
Okokuqala, ake siqonde ukuthi iyini i-Prehypertension. Kalula nje, kusho ukuthi umfutho wegazi wakho ungaphezulu kancane kwesilinganiso esifanelekile .
Ukuhlolwa komfutho wegazi okunempilo ngokuvamile kungama-120/80 mmHg. Uma udokotela wakho ehlola umfutho wakho, unikeza izinombolo ezimbili: inombolo ephezulu (umfutho we-Systolic) kanye nenombolo engezansi (umfutho we-Diastolic).
Nge-Prehypertension, inombolo yakho ephezulu (i-systolic) ingaba phakathi kuka-120 no-139 , noma inombolo yakho engezansi (i-diastolic) ingaba phakathi kuka-80 no-89 . Uma noma yiliphi lala manani liwela ngaphakathi kwala mabanga, lihlukaniswa njenge-Prehypertension.
Ngezinye izikhathi, odokotela bangase bahlukanise inombolo ephezulu phakathi kuka-120-129 kanye nenombolo engezansi engaphansi kuka-80 ngokuthi “umfutho wegazi ophakeme.” Uma inombolo yakho ephezulu ingu-130-139 kanti inombolo yakho engezansi ingu-80-89, ingabizwa ngokuthi “umfutho wegazi ophezulu wesigaba 1.” Kodwa-ke, i-Prehypertension yigama elihlanganisa zombili lezi zimo.
Uma inombolo yakho ephezulu ingu-140 noma ngaphezulu, kanye/noma inombolo yakho engezansi ingu-90 noma ngaphezulu, lokho kutholakala ngokusemthethweni njenge-Hypertension (umfutho wegazi ophakeme).
Ingabe i-Prehypertension iyingozi? Kungani kufanele ukhathazeke?
Ungase ucabange, “Kuphezulu kancane nje, kuyini okubi?” Iqiniso liwukuthi yebo, lokhu kuyinto okufanele uyithathe ngokungathi sína. Cabanga ngalokhu: abantu abane-Prehypertension basengozini ephindwe kabili kuya kathathu yokuthola izimo ezibucayi njengokuhlaselwa yinhliziyo, ukwehluleka kwenhliziyo, noma isifo sohlangothi uma kuqhathaniswa nalabo abanamazinga anempilo omfutho wegazi.
Ngaphezu kwalokho, abantu abaningi abane-Prehypertension bazothuthukela ku-Hypertension yezokwelapha ngokuhamba kwesikhathi. Ezinye izifundo zibonisa ukuthi iningi lalabo abane-Prehypertension liba nomfutho wegazi ophakeme ogcwele phakathi neminyaka emithathu kuya kwemine. Cabanga ngakho njengesibani sethrafikhi esiphuzi—uma ungathathi izinyathelo zokuphepha manje, isibani esibomvu asisekho ngemuva.
Ivame kangakanani i-Prehypertension?
Kuvamile kakhulu kunalokho ongakucabanga. Izibalo zisikisela ukuthi cishe umuntu oyedwa kwabathathu abadala emhlabeni wonke une-Prehypertension . Lena inkinga evamile naseSri Lanka, ngakho-ke yisimo esingathinta noma ubani.
Ingabe zikhona izimpawu ze-Prehypertension?
Lena yingxenye ekhathaza kakhulu: I-Prehypertension ngokuvamile ayinazo izimpawu ezithile. Ungase ungezwa lutho oluhlukile noma ungezwani nokungakhululeki ngenkathi le nkinga ikhula ngaphakathi. Nakuba abanye abantu bengase bazizwe benesiyezi noma bekhathele, lokhu akuzona izinto ezibangela i-Prehypertension kuphela.
Ngakho-ke, okuwukuphela kwendlela yokwazi ukuthi une-Prehypertension yini ukuhlola umfutho wegazi lakho njalo.
Yiziphi izinkinga ezingavela ngenxa ye-Prehypertension?
Ngisho noma kungekho zimpawu ezibonakalayo, i-Prehypertension ingaholela ezinguqukweni zangaphakathi emzimbeni wakho. Lezi zivame ukuba izimpawu zokuqala ze -Atherosclerosis (lapho imithambo yegazi incipha futhi iqine ngenxa yokunqwabelana kwama-plaque). Izibonelo zifaka:
- Ukuqina kwezindonga zemithambo yegazi eyinhloko (`umthambo we-carotid`) entanyeni.
- Ukwandiswa kwamagumbi athile enhliziyo.
- Kwandisiweama-calcium deposits emithanjeni yenhliziyo enikeza igazi enhliziyweni yakho.
Lokhu akubonakali, kodwa kubonisa ukuthi umzimba wakho uvula indlela yesifo senhliziyo kanye nesifo sohlangothi.
Yini ebangela i-Prehypertension?
Nakuba kungekho imbangela eyodwa yokuphakama komfutho wegazi, izici eziningi zendlela yokuphila zibangela lokhu:
- Usawoti Oweqile: Usawoti ufihliwe ekudleni okuningi—ikakhulukazi kuma-curry ethu endabuko, ama-sambol, nama-pickle. Ukudla okuthengwa esitolo, njengokudla okudliwayo okufushane kanye nokudla okucutshunguliwe/okupakishwe, kuvame ukuba ne-sodium eningi. Ukudla njalo ngokuhamba kwesikhathi kuholela ezinkingeni.
- Ukuphuza Utshwala : Ukuphuza ngokweqile kunomthelela omkhulu ekukhuphukeni komfutho wegazi.
- Ukuntuleka Kokuzivocavoca: Indlela yokuphila yokuhlala phansi iyandisa kakhulu ingozi yomfutho wegazi ophakeme.
Kubantu abangaba ngu-95%, umfutho wegazi ophezulu ubangelwa yinhlanganisela yalezi zici zendlela yokuphila. Kuma-5% asele alezi zimo, kungabangelwa yizimo eziyisisekelo, njenge:
- Ukuphefumula komoya ngesikhathi sokulala
- Isifo sezinso
- Isifo se-thyroid
Ubani osengozini enkulu yokuthola i-Prehypertension?
Izici ezithile zikwenza uthambekele kakhulu ekuhlaselweni yi-Prehypertension:
- Ukusetshenziswa kukagwayi : Lokhu akusebenzi nje kuphela kuma-cigarette noma kuma-cigarette, kodwa futhi nasemikhiqizo kagwayi engenantuthu (njenge-betel quid enogwayi).
- I-Body Mass Index (BMI) engaphezu kuka-25: Kalula nje, ukuthwala isisindo esingaphezu kwesifanele ubude bakho kwandisa ingozi yakho. Ungahlola kalula isimo sakho usebenzisa i-BMI calculator eku-inthanethi.
- Umlando Womndeni: Uma abazali bakho noma izingane zakini zine-high blood pressure, usengozini enkulu yofuzo yokuba ne-Prehypertension noma i-Hypertension.
Ihlolwa kanjani i-Prehypertension?
Ukuhlolwa okukodwa okuphezulu akusho ukuthi une-Prehypertension. Ngokuvamile, udokotela uzoqinisekisa ukuthi unesifo uma ukucindezeleka kwakho kuphakeme njalo okungenani kabili noma ngaphezulu kokuvakasha okuhlukene ezinsukwini ezahlukene .
Ukuhlolwa kuhilela i-cuff eboshwe engalweni yakho engenhla—kuyinqubo esheshayo nengenabuhlungu.
Uhla lwe-Prehypertension luyinombolo ephezulu ephakathi kuka-120–139 noma inombolo engezansi ephakathi kuka-80–89.
Ingabe udinga ukwelashwa kwe-Prehypertension?
Impela! Lesi akusona isimo esizoxazululeka sodwa, futhi akuyona into okufanele ungayinaki. Uma ungathathi izinyathelo zokulawula le Prehypertension manje, kunethuba elikhulu lokuthi izothuthuka kancane kancane ibe umfutho wegazi ophezulu (i- Hypertension ). Umfutho wegazi awuthuthuki ngokwawo.
Iphathwa kanjani i-Prehypertension ?
Izindaba ezinhle kakhulu ukuthi kubantu abaningi abane- Prehypertension , ungakwazi ukuphatha lesi simo ngaphandle kwemithi, ngokwenza izinguquko ezincane neziqhubekayo endleleni yokuphila. Yiziphi lezi zinguquko?
- Ukuzivocavoca Okuvamile: Kubalulekile ukuzibandakanya emsebenzini womzimba okhulisa ukushaya kwenhliziyo yakho okungenani imizuzu engama-30 ngosuku, ezinsukwini eziningi zesonto. Imisebenzi efana nokuhamba ngokushesha, ukugijima, ukugibela ibhayisikili, noma ukubhukuda konke kuyizinketho ezinhle kakhulu.
- Londoloza Isisindo Esinempilo: Zibekele isisindo esinempilo esifanele ubude bakho. Uma ukhuluphele kakhulu, ukunciphisa ngisho nesilinganiso esincane kungenza umehluko omkhulu.
- Yeka Ukusebenzisa Imikhiqizo Kagwayi:Uma ubhema, yeka ngokuphelele. Uma usebenzisa ezinye izinhlobo zikagwayi, yeka nazo.
- Ukulungiswa Kokudla:
- Nciphisa Usawoti: Nciphisa usawoti owufaka ekudleni kwakho. Futhi, zama ukunciphisa ukudla okune-sodium ephezulu (ukudla okucutshunguliwe, ukudla okusheshayo, kanye nenyama enosawoti/elungisiwe) ngangokunokwenzeka.
- Nciphisa Amafutha: Nciphisa ukudla okunamafutha amaningi nokuthosiwe.
- Khulisa Ukudla Imifino, Izithelo, kanye Nemifino Eluhlaza:
- Le ndlela yokudla ivame ukubizwa ngokuthi i- DASH diet (Dietary Approaches to Stop Hypertension). Ungafunda kabanzi ngalokhu ngokubonisana nodokotela wakho noma nochwepheshe wezokudla obhalisiwe.
- Nciphisa Utshwala: Uma uphuza utshwala, yenza lokho ngokulinganisela. Imikhawulo enconywayo ngokuvamile iwukuphuza isiphuzo esisodwa esijwayelekile ngosuku kwabesifazane kanye nesiphuzo esifika kwezimbili kwabesilisa.
- Ukulawula Ukucindezeleka: Ukucindezeleka ngokweqile kungabangela umfutho wegazi ophakeme. Imikhuba efana ne-yoga, ukuzindla, nokuthola izindlela ezinempilo zokuphumula kungaba usizo kakhulu.
Kodwa-ke, uma unezinye izinkinga zempilo kanye ne -Prehypertension —njengesifo sikashukela, isifo sezinso, noma isifo senhliziyo — udokotela wakho angase ancome ukuqala imithi yokulwa nomfutho wegazi ophezulu . Kunezinhlobo eziningi ezitholakalayo. Njengoba eminye imithi ingabangela imiphumela emibi, uma uhlangabezana nanoma yini engavamile, khuluma nodokotela wakho njalo , njengoba ingakusiza ukulungisa imithi yakho kadokotela.
Yini esingayenza ukuvimbela ukuthuthukiswa kwe- Prehypertension ?
Ukuvimbela kulandela izimiso ezifanayo nokwelashwa. Ngokwamukela le mikhuba ngaphambi kokufinyelela esigabeni se -Prehypertension , unganciphisa kakhulu ingozi yakho:
- Gwema yonke imikhiqizo kagwayi (ugwayi, ugwayi ongenantuthu, ngisho nokubhema i-vaping) ngokuphelele.
- Vivinya umzimba njalo phakathi nesonto.
- Thuthukisa izindlela ezisebenzayo zokuphatha ukucindezeleka kwansuku zonke.
- Gcina ukuphuza kwakho utshwala kulinganiselwe.
- Nciphisa inani likasawoti elifakwa ekudleni kwakho.
- Lwela ukugcina isisindo esinempilo.
Uma ngine -Prehypertension , yini okufanele ngiyilindele?
Ucwaningo olunzulu lukhombisile ukuthi abantu abane -Prehypertension basengozini enkulu yokuthola isifo senhliziyo kanye nesifo sohlangothi uma kuqhathaniswa nalabo abane-blood pressure ephansi. Ngokuvamile, i-Prehypertension iqhubekela phambili ibe yi- hypertension egcwele ngokuhamba kwesikhathi, okwandisa kakhulu ingozi yesifo sezinso kanye nesifo sikashukela sohlobo 2.
Kodwa-ke, ungesabi! Into ebaluleke kakhulu ukuthi ngokuqaphela i-Prehypertension kusenesikhathi nokushintsha imikhuba yakho yansuku zonke, ungavimbela ukuthuthukiswa kwe -Hypertension futhi wehlise kakhulu ingozi yakho yesifo senhliziyo.
Kufanele ngimbone nini udokotela?
Kubalulekile ukuvakashela udokotela wakho okungenani kanye ngonyaka ukuze uhlolwe ngokomzimba noma minyaka yonke.
Uma udokotela wakho ekutshela ukuthi une -Prehypertension , uzokweluleka ngokuthi kufanele ubuye kangaki ukuze uzolandelelwa. Lokhu kubalulekile ukuze kuqashwe ukuthi izinguquko zakho zendlela yokuphila ziyawehlisa ngempumelelo yini umfutho wegazi lakho noma ukuthi uthambekele yini ekucindezelekeni kwegazi , ukuze kuqalwe ukwelashwa ngokushesha uma kudingeka.
Yimiphi imibuzo okufanele ngiyibuze udokotela wami?
Uma uvakashela udokotela wakho, cabanga ngokubuza imibuzo elandelayo:
- "Dokotela, yiziphi izinguquko zokudla okufanele ngizenze ukuze ngisize ukwehlisa umfutho wegazi lami?"
- "Ingabe imithi iyadingeka ngempela nge -Prehypertension yami njengamanje?"
- "Kufanele ngizivocavoce kangaki ngosuku, futhi yiziphi izinhlobo ezilungele umfutho wegazi lami?"
- "Unganginika ulwazi olwengeziwe noma izinsiza zokunciphisa usawoti engiwudlayo?"
Umyalezo Wokugcina Wokuya Nasekhaya
Wonke umuntu ufuna ukuhlala ephilile futhi agcine umfutho wegazi wakhe ungaphakathi kwesilinganiso esijwayelekile. Ngezinye izikhathi, ngaphandle kokuqaphela, umfutho wegazi wethu ungakhuphuka kakhulu. Uma kutholakala ukuthi une- Prehypertension , ungakhathazeki. Awuwedwa; lesi yisimo esivame kakhulu.
Ingxenye engcono kakhulu ukuthi unamandla okukulawula. Izinguquko ezincane neziqhubekayo zendlela yokuphila zingabuyisela umfutho wegazi lakho ezingeni elinempilo. Uma udinga ukwesekwa ngokunciphisa isisindo, ukuyeka ukubhema, noma ukuqala ukudla okunempilo, ungangabazi ukucela isiqondiso kudokotela wakho noma kuchwepheshe wezempilo ofanelekayo eNirogi Lanka.
Izinyathelo ezincane ozithathayo namuhla ziwutshalomali olukhulu empilweni yakho yenhliziyo yesikhathi esizayo! Ngakho-ke, ungalibali—qala namuhla.
Umfutho wegazi, Umfutho wegazi ophakeme, Umfutho wegazi ophakeme, Impilo yenhliziyo, Inhlalakahle, Indlela Yokuphila
